| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,099 |
2,794 |
$521K |
| 0011A |
|
29 |
29 |
$1K |
| 0012A |
|
27 |
27 |
$1K |
| 0064A |
|
15 |
15 |
$398.18 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
13 |
12 |
$392.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
153 |
139 |
$258.51 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
32 |
32 |
$26.85 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
731 |
681 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
68 |
67 |
$0.00 |
| 3078F |
|
234 |
226 |
$0.00 |
| 3074F |
|
836 |
779 |
$0.00 |
| 3079F |
|
182 |
179 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
426 |
415 |
$0.00 |
| 3075F |
|
102 |
98 |
$0.00 |
| 1126F |
|
113 |
109 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$0.00 |